Lactancio Fernandes in Amory - Geriatric Medicine

Lactancio Fernandes - NPI 1942398409

Lactancio Fernandes is a Geriatric Medicine in Amory, Mississippi. Lactancio Fernandes practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Lactancio Fernandes is 1942398409. The last update date is 2013-03-04.

Lactancio Fernandes's current location address is 1107 Earl Frye Blvd Ste 3, Amory, Mississippi. You can contact this provider via phone number 6622569590 and fax number 6622569599. The mailing address for Lactancio Fernandes is 1107 Earl Frye Blvd Ste 3, Amory, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Lactancio Fernandes
Address 1107 Earl Frye Blvd Ste 3, Amory, Mississippi
Phone Number 6622569590
Fax Number 6622569599
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1942398409
Provider Enumeration Date 2006-10-10
Last Updated Date 2013-03-04

Provider Mailing Address Detail

Address 1107 Earl Frye Blvd Ste 3
City Amory
State Mississippi (MS)
Post Code 388215519
Phone Number 6622569590
Fax Number 6622569599

Provider's Primary Taxonomy Detail

Speciality Geriatric Medicine
Taxonomy 207Rg0300X
Licence No 14203
Definition:
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1578334 MS --
P00821834 MS RAILROAD MEDICARE

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FAQs about Lactancio Fernandes

What is the unique 10-digit identification code assigned to Lactancio Fernandes by the Centers for Medicare & Medicaid Services?

The Lactancio Fernandes has been issued the NPI (National Provider Identifier) 1942398409, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Lactancio Fernandes?

The Lactancio Fernandes is physically situated at 1107 Earl Frye Blvd Ste 3, in the city of Amory, state of MS, with the postal code 388215519.

What is Lactancio Fernandes's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Lactancio Fernandes is Geriatric Medicine, and the taxonomy code that categorizes this field of expertise is 207Rg0300X.

On what date did the Lactancio Fernandes receive its 1942398409 assignment from the Centers for Medicare & Medicaid Services?

The Lactancio Fernandes was assigned its 1942398409 by the Centers for Medicare & Medicaid Services on 2006-10-10.

When was the Lactancio Fernandes's information last updated?

The Lactancio Fernandes's information was last updated on 2013-03-04.

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